The LINIA Cromwell Hospital has established the service of Hip Resurfacing and is common practice. The Finsbury resurfacing system metal on metal joint has been shown to be 98% more wear resistant than metal on plastic implants, and this is why we pride ourselves on this system, and our patients are rehabilitated in reasonable time well within national standards.

We have also been completing Hip replacements for many years now and again we have been meeting national standards in the rehabilitation of our clients, and our complication rate is as low as 2%. Our most common practice is cement less hip replacement as this is easier to revise at a later date, and usually common for younger patients, although this operation is not solely determined by age, but is dependent on the patient's level of activity and expectations. Rather than the cemented which is used for the older clients?

Arthroscopic surgery has revolutionised the approach to and treatment of joint disorders. Today, arthroscopy is performed on virtually all major joints of the body, and, because of its applications, the world has gained a greater understanding of joint mechanics, anatomy, and function. Its use continues to serve a vital role in the diagnosis and treatment of musculoskeletal ailments because of its high degree of clinical accuracy, low morbidity, infrequent complications, and quick recovery time. Additionally, the development and increased use of arthroscopic techniques have played major roles in the ability to perform surgical procedures on an outpatient basis, there by saving money and resources.

LINIA is about to undertake its first shoulder arthroscopies, with the purchase of new attachment to our theatre table and equipment for the procedure.

Image Guided Surgery is the latest advancement in Orthopaedic Surgery and is available only in a few centres in the world. It uses technology similar to the location and directional tracking systems used in modern aeroplanes, ships, etc., it is in fact a GPS System for the surgeon. The anatomy of the operating area is assessed and displayed accurately & 3 dimensionally. As the surgeon uses an instrument during surgery, the IGS camera like the GPS satellite calculates its position and then transfers the data to a computer. The whole system offers the surgeon a virtual 3D navigation support system. It allows very precise, safe and perfect surgeries, which is beneficial to the patient.

Safety and higher success rates are the two main advantages. In surgeries like joint replacement, better reproduction of natural anatomy allows better movements and longer survival of the joint replacements, which allows a more seamless rehabilitation process through application of bone and muscle preservation procedures.

The LINIA Cromwell Hospital is already completed several navigated knee replacements with the Orthopilot by B. Braun. All the patients have had successful recovery and rehabilitation from the navigation system.

We have completed our first Ankle replacement with a good recovery and are probably our main Orthopaedic surgery with growth. We also cover all foot surgery, for example, forefoot and mid foot reconstruction, prosthetic reconstruction of neglected chronic tear of tendons and arthroscopic procedures of the ankle.

Our aim at LINIA Health Care is to set up a foot and ankle clinic run by out patients and a Consultant.

• Dupytren's fasciectomy
• Carpel tunnel release

At LINIA we already hold a substantial hand clinic run by a very experienced hand surgeon.

• Foot deformity
• Excision of Ganglion
• Hammer Toes
• In growing Toe nails
• Local steroid Injections
• Manipulation of joints
• Osteotomy
• Tennis Elbow Treatment
• Back pain Treatment

• Arthroscopy
• Arthroscopy of Knee
• Arthroscopy of Shoulder
• Foot and Ankle Surgery
• Hand Surgery
• Hip Replacement Surgery
• Hip Treatment
• Knee Replacement Surgery
• Knee Treatment
• Orthopeadics Upper Limb
• Orthopaedics Lower Limb
• Shoulder Treatments
• Pain Management
• Acupuncture
• Radiography
• Sports Medicine
• Sports injuries (and prevention of)
• Physiotherapy
• Rehabilitation
• Home help

Physiotherapy plays a vital role in the rehabilitation of Orthopaedic patients, especially those who have undergone surgery. The Centre offers comprehensive post-operative support to all Orthopaedic patients, including home help and support on discharge.

Physiotherapy will compliment all the Orthopaedic Techniques and procedures and to help provide a speedy and complication free return to normal activity.

Physio can be useful in the diagnosis and management of a wide range of injuries, disease processes, and other conditions including:

• Sports injuries
• Back and neck pain
• Postural problems
• Occupational injuries
• Arthritis
• Impaired mobility

Having a Physiotherapist on site will allow continuity of care for the patient and co-ordination between themselves and the Consultant. Immediate referrals can be made and booked on site.

Having a post operative physio on site will provide pre and post operative programs to help get you moving again, making sure the in patient stay is not unexpectedly extended.

They will arrange specialist equipment if necessary or refer to the appropriate organisation to get the equipment for patients. Physiotherapist can advise on many different types of equipment, including splints, walking aids, wheelchairs and occupational equipment.

New to the business in recent weeks is the addition of two new Physiotherapists who work in both Sports Medicine and Neuro. It is hoped we can establish both the clinics for the vision of the company.

Neuro Physiotherapy service is a available for people with conditions such as strokes, Parkinson’s Disease, multiple sclerosis, head injuries, neuropathies, balance problems and cerebral palsy.

The Sports Physiotherapists will develop a sports injury clinic which will be designed to be fast, efficient and easily accessed. Patients can either self refer or be referred by their specialist or GP. Clinics will be held in the evenings to accommodate those who are working.